THE RESCUE OF A DENTAL CRIPPLE AND A LIFE TRANSFORMED
When this gentleman who is generally healthy and a smoker to boot requested for help, it was quite a challenge. He could not eat properly because the upper denture tended to fall down and he had only a few lower front teeth left. Cost was not a big issue but he still preferred some savings if possible.
The options were presented and the choices were between standard implants or minis or a mix of them with the accompanying pros and cons. We started in December 2009 and completed in December 2010. It could have been earlier except that the gentleman had the lowers done first and tried it out for several months before he made the judgement call that minis do work and requested for minis for the uppers as well.
With all the pros and cons discussed and informed consent obtained, we proceeded to place in 12 minis or MOSTDIs as I like to call them. One was lost from the incisor area basically because the anterior ridge was extremely narrow. Nevertheless, 10 was enough. We cemented BUDs( Bridge/crown Underpinning Device) on them which allowed for direct impressions.
From THE BUDDY SYSTEM described in this blog
with
MOSTDIS, MOSTDIBUDS, MOSTDIDADS AND MOSTDIMUMS.
FIRST AND ORIGINAL PATENTED BY MOSTDI INNOVATIONS PTE LTD
The Lab loved us because they did not have to manipulate all sorts of analogs and whatnots etc. They just built the bridge directly with some relief around the MOSTDIBUDs and incorporated cleaning grooves to enable removal of all excess cement and regular self maintenance.
THE DENTAL CRIPPLE WAS RESCUED AND HIS LIFE TRANSFORMED
HORRENDOUS!
REMAINING TEETH PRESERVED
ROOT CANALS DONE ON THE LEFT CANINE AND PREMOLAR
CONSERVATION OF SOUND TOOTH STRUCTURE
A HANDSOME UPPER FULL DENTURE MADE
MOSTDIS WITH MOSTDIBUDS PLACED
CEMENT AROUND THE BUDS CAN BE EYEBALLED AND THOROUGHLY REMOVED.
PIC TAKEN A WEEK OR SO LATER SHOWS VERY HEALTHY MUCOSA ALL AROUND THE MOSTDIBUDS/ABUTMENTS
SEE HOW HEALTHY THEY ARE!!
LINGUAL VIEW OF THE LOWER LEFT BRIDGE TO SHOW HOW HEALTHY THE SURROUNDING MUCOSA IS MAINTAINED
OOPS. THIS IS A PIC OF THE DENTURE THAT THE PATIENT WAS WEARING BEFORE THE MOSTDIS WERE PLACED
SEE THE CLEANING GROOVES BUILT BETWEEN ALL THE MOSTDIS
LINGUAL VIEW OF LOWER RIGHT BRIDGE
LOWER COMPLETED
PATIENT WANTS TO SEE WHETHER MINIS WORK.... TSK
DIRECT IMPRESSION MODELS TAKEN WITH NO NECESSITY OF ANALOGS
SIMPLIFY! SIMPLIFY! A JOBSIAN TRAIT
HERE IT IS MINIS! MINIS! MINIS!
BRING ON THE BRICKBATS
BUT THE PATIENT IS ABSOLUTELY ASTOUNDED AND PLEASED
AT LESS THAN HALF THE COST OF STANDARDS
ALMOST NO TRAUMA AND NO BONE GRAFTS
ALL WITHIN TWO MONTHS OR LESS
CLOSE-UPS
THE GUY IS STILL SMOKING AND BITING VERY WELL THANK YOU!
CLOSE-UPS
THE FIRST IMPLANT SYSTEM DESIGNED TO PROTECT THE EMERGENT MARGIN OF THE IMPLANT AKA THE ARCHILLES HEEL OF ALL DENTAL IMPLANTS
SEE AND LISTEN TO "THE THREE CRITICAL MARGINS OF IMPLANT DENTISTRY"
ON YOUTUBE
IT IS A SEMINAL DISCOURSE ON A SUBJECT THAT IMPLANT DENTISTS TEND TO AVOID LIKE THE PLAGUE
HEALTHY! HEALTHY!
USED THE UPPER FULL DENTURE FOR REMOVABLE TEMPORIZATION WITH SOFT LINER
CONCLUDED THAT IT WILL BE BETTER TO REMOVE THE FLANGE AND CEMENT IN THE DENTURE INSTEAD AND REMOVABLE BY THE DENTIST ONLY
OBSERVE THE CLEANING GROOVES
FINAL RESULT
CALLED MICRO-PILING IN ENGINEERING
YOU NEED TO JOIN THEM FOR STRENGTH AND DURABILITY
IF IMPLANT DENTISTRY IS THIS SIMPLE AND SAFE
THEN IT SHOULD BE TAUGHT AT UNDERGRAD LEVEL
AND ALL GENERAL DENTISTS SHOULD AVAIL THEMSELVES TO LEARN AND DELIVER.
IT SHOULD NOT BE CONFINED TO ONLY SOME SPECIALISTS AND A FEW ADVENTUROUS GPS
CURRENTLY ONLY THE RICH AND THE BRAVE ARE BENEFITING
LET US DEMOCRATIZE IMPLANT DENTISTRY
AND BENEFIT THE AVERAGE AND THE NOT SO BRAVE!!
THAT MEANS THE REST OF THE WORLD.
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